Congrats to Coach Cameron! Our 1st Certification in Germany!
Here is what this coach has to say about the IFGEC Certification program:
“I found the National Shoe Fit Program very informative. So much information was presented in a short amount of time, and I have learned a huge amount. Without being able to stop to write and go back to check I had the information clear in my head I would have only taken away a very small amount of the detail required to start to get my head around this subject.
I am a coach, personal trainer and an athlete and will be using this within my coaching here in Germany. After buying so many shoes and seeing Doctors in the past about problems had with running I am amazed that not one person had gone into the detail and really looked at my feet in the way they should have been. I now believe I have been given a short cut to all the basic information and now have a solid platform on with to build more biomechanical information.
Thank you for the course.
Regards Cameron Lamont”
Want to know more? Contact us at: firstname.lastname@example.org
So, what kind of shoes do I put this guy in?
The answer is, well…it depends.
This gentleman has a large Q angle (need to know more about Q angles? click here). The second photo is taken from above looking down at his knee.
If he has medial (inside) knee pain (possibly from shear forces), you would want to unload the medial knee, so a more flexible shoe that would allow more pronation of the foot and INCREASE the amount of valgus would open the medial joint space and probably be more appropriate.
If he had lateral (outside) knee pain (possibly from compressive forces), then a shoe with more support (like a motion control shoe) would help to unload the lateral knee and create more space may be appropriate. And that just covers the local knee issue. What if he has a pes planus and needs more than a “more stable” shoe ? And, what if that pes planus is rigid and won’t accept a more rigid arch supporting device ? What are you gonna do then ?
There are no hard and fast rules AND there is no substitute for examining the person and asking LOTS of questions BEFORE putting them in a shoe. You must approach each case on a case-by-case basis with all factors brought into the fold to make the best clinical decision. Simply watching them walk, as you have heard it over and over again here on The Gait Guys, will lead you into wrong assumptions much of the time. Sometimes the obvious fix is not possible or won’t be tolerated by the person’s foot, knee, hip or body. So, sometimes you have to settle with something in-between.
Need to, or dying to, know more? Take our 3 part National Shoe Fit Program and be a shoe guru!
Email us at email@example.com for details.
Take a look at these dogs
Take a good look at these shoes. Notice the wear at the heel counter. Did you notice the varus cant of the rear foot. Good! Did you carefully inspect where the upper was attached to the midsole? Now did you notice that upper is canted in varus as well? This person DID NOT have a rear (or forefoot) varus.
Hmmm. Maybe the varus canting of the upper caused the wear on the outsole? We doubt it; most likely it was the other way around.
What sort of symptoms so you think they had?
Do you think medial or lateral knee pain?
Could be either.
- Lateral; knee pain from stretch on the lateral side of the knee at the lateral collateral ligament or
- medial from compression of the medial condle of the femur and medial tiibial plateau.
How about pain on the outside of the hip? Canting the foot laterally has a tendency to externally rotate the lower leg and thigh. This may cause shortening of the gluteals (max and post fibers of the min); difficulty accessing the gluteus minimus (its a medial rotator), shortening of the deep 6 external rotators, difficulty accessing the vastus medialis (external rotator when foot is on the ground), and the list goes on.
What’s the fix?
New shoes. Pay attention when you buy shoes. Put them up on a counter at eye level and inspet them closely. We can’t tell you how many defects we see on a daily basis; too many to count. One time at a shop, we needed to go through 10 pair before we had a good right and left.
The Gait Guys. Bald. Good looking. Smart. Increasing your “Shoe IQ” every day.
Want to know more? Take our National Shoe Fit Certification Program. It’s the only one of its type and the only one certified by the International Footwear and Gait Education Council. Drop us an email at: firstname.lastname@example.org for more details or go to our payloadz store (click here) and download it today.
All material copyright 2013 The Gait Guys/ The Homunculus Group.
Shoe News You can Use…
The Heel Counter- the back of the upper
This is the back of the shoe that offers structure (just squeeze the back of a shoe. this is the rigid part you feel between your thumb and 1st finger, unless of course, you are using your teeth). This is often part of or integrated with the upper.
A strong, deep heel counter with medial and lateral support is important for motion control; It offers something for the calcaneus (heel bone) to bump up against when as it is everting (moving laterally) during pronation. Look at folks that have a bump on the outside of their heel (particularly the ladies(sorry, true); this is often called a “pump bump”). Now look at the inside of their shoes. See that worn away area on the inside of the back of the shoe? Now you know where that worn away area is coming from!
Lateral support especially for people who invert a great deal or when you’re going to place an orthotic in the shoe which inverts the foot a great deal. The lateral counter provides the foot (or orthotic) something to give resistance against. The lateral counter needs to extend at least to the base of the fifth metatarsal, otherwise it can affect the foot during propulsion. A deep heel pocket in the shoe helps to limit the motion of the calcaneus and will also allow space for an orthotic. The heel counter should also grip right above the calcaneus, hugging the Achilles tendon.
We know you want to know more. We can help. Take the National Shoe Fit Certification Program. If you like, sit for the exam and get certified as well. Email us for details email@example.com
The Gait Guys. We’re your heel counter!
all material copyright 2012 The Homunculus Group/ The Gait Guys. All rights reserved. If you want to use our stuff, please ask. If not, Captain Cunieform may pay you a visit…
The Great Myth of Rotating your Shoes : Here are the Actual Facts as we see them.
Everyone has heard the rules, rotate into new shoes about every 400-500 miles. We disagree, kind of, and we have talked about it on previous blog posts in the past and on our podcasts. Many shoe reps have agreed with the methods we employ for our runners.
The EVA foam often used in shoe manufacturing has a lifespan, or better put, a given number of compression and shear cycles. It can go through a rather fixed number of compression cycles before it loses its original structural properties, the older the foam gets the faster the degradation process and the more risks it poses for runners. It is known that EVA foam compressed into a focal vector or area over and over again becomes softer and more giving into that vector/area over time. Hence, if you have a compensation pattern or a known foot type (forefoot varus, forefoot valgus, rearfoot varus, rearfoot valgus or a combination of these 4) you will break down a certain region or zone of the shoe’s EVA foam. For example a forefoot varus foot type will often drive some heavy focal compression into the foam under the first metatarsal. However, if you combine it with a rear foot valgus it will drive shear forces and compression into the EVA foam along the entire medial aspect of the shoe (see the 2 pictures attached, you can see the evidence of excessive medial compression and medial shear in a foot that has severe rearfoot valgus and forefoot varus. This is a very poor shoe prescription for the foot type involved).
Here is what you need to do / know:
1- Know your athletes foot type so you can make more informed decisions.
2- Know the type of foam of the shoes you are recommending (ie. Altra uses A-Bound foam instead of EVA just as an example. A-Bound is an environmentally friendly energy-return compound is made of recycled materials. It reduces the impact of hard surfaces while still maintaining ground feedback. Traditional running shoe foam compresses 70-90% while A-Bound™ compresses 2-3x less so it won’t deform over time.). Cheap shoes use cheap materials. Altra goes the extra mile for foam quality and many others are beginning to follow suit. If you think you are getting a deal on shoes, know what “the deal” is, it just may be cheaper materials.
3- 500 miles is not the rule for everyone and every shoe. If you have a relatively neutral forefoot and you are a forefoot or midfoot strike runner you will get far more miles out of a shoe. If you depend on a stability shoe with dual densities of foam to slow your pronation and control your medial foot because of a rearfoot valgus and/or forefoot varus know that the shoe’s foam will break down less uniformly because of foam interface junctions and whatnot. This is a science. Engineers call it “the mechanics of material deformation”. We wonder how many mechanical engineers shoe companies have on board in their R&D divisions ? We know for a fact that a few do not. There was a reason we snuck quietly into the mechanical engineering departments of our Alma Mater and sat quietly in the “Materials” classes. At the time our roommates just told us it was cool class, little did we know why it was so interesting to us, until now.
4- Here is what we recommend. Fit the foot type to the right shoe selection. If you are weak in this territory consider taking our intense “National Shoe Fit” program. Fit is everything. Make the wrong choice for your client and the shoes will break down quicker and into poor and risky patterns. Make the right choice and be their hero. If you are looking for a way to improve clientele happiness and store loyalty our Shoe Fit Program is the way. Just read the testimonials here on our blog. Some of the top stores in the Nation have quietly taken the National Shoe Fit Program from us, they have good reason to. They also have good reason to keep it quiet, to get the edge on the competition.
You can email us to get this information and the e-file program download. Why not certify your entire store staff ?
Email us at firstname.lastname@example.org. This program will teach you foot anatomy, functional anatomy, shoe anatomy, foot types and matching foot type to shoe type as well as many other aspects of gait and lower limb biomechanics.
* 5- Try this recommendation. At 250 miles buy a new shoe to accompany your shoe that already has 250 miles. Now you are rotating 2 shoes. From this 250 mile point moving forward, alternate the newer show with the older shoe. This way you are never in a shoe that is notably more deformed in a specific area of the EVA foam because of your compensations, limitations or foot type. Essentially you are always just a day away from a newer shoe that has less driving force into abnormally compressed EVA foam. The older the shoe gets the more it accelerates your foot and body into that deformation and hence why many injuries occur as their shoes get older. Continue to alternate shoes on every other run (new, old, new, old). Once you hit 400-500 miles on the old shoes, ditch them and get a new pair again to restore the cycle once again. In fact, to be specific here is what we recommend. Monday, old shoe. Tuesday, new shoe. Wednesday do not run, rather, rest or cross train. Thursday go back to the older shoe. Friday new shoe and repeat. This way you are 4 days between runs in the older more deformed shoe. The one day off running in mid week gives tissues that were challenged by the “old shoe run” a bit more time to repair.
6- Dedicate your shoes to running only. Running gait is not the same as walking gait. Why would you want to break down the EVA foam at the rear foot during walking (because heel strike is normal in walking) when in running you are a mid-forefoot striker ? Keep walking shoes for walking, running shoes for running. Otherwise you are just asking for trouble.
Check out our National Shoe Fit program and certification process here as well as links to our other teaching DVD’s & e-downloads:
Shawn and Ivo. Helping you use your head (and shoe knowledge) better everyday.
The Gait Guys (have you checked out our RebelMouse page ? https://www.rebelmouse.com/TheGaitGuys/
Keeping up with our awesome informative podcasts ? It is all free stuff ! https://itunes.apple.com/us/podcast/the-gait-guys-podcast/id559864138
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